Deep Plane Faceliftin Long Island

A deep plane facelift primarily addresses the midface, jowls, nasolabial folds, lower face, and neck. By repositioning the deeper soft tissue layers, it reduces the hollowing of the midface that accompanies aging, softens nasolabial folds from below, eliminates jowling along the jawline, and significantly improves neck contour — often more effectively than either a standalone facelift or standalone neck lift.

A mini facelift uses shorter incisions and limited tissue movement — appropriate for mild laxity with a faster recovery, but with less comprehensive and less durable results. A SMAS facelift tightens or folds the SMAS layer without releasing deeper attachments. A deep plane facelift goes further — releasing the retaining ligaments of the face and elevating the SMAS and overlying tissue as a unit. The deep plane technique generally produces the most substantial and longest-lasting results, and is the approach Dr. Doshi most commonly recommends for patients with significant facial descent.

Sub-SMAS refers to the surgical plane beneath the SMAS layer where deep plane dissection takes place. Operating in this plane allows the surgeon to directly address the retaining ligaments — the zygomatic and masseteric ligaments — that tether descended facial tissue in place. Releasing these ligaments allows the tissue to be repositioned rather than simply stretched, which is the fundamental difference between deep plane results and those achieved by more superficial techniques.

Deep plane facelift results are among the most durable in facial plastic surgery — most patients see lasting improvement for twelve to fifteen years or more. Because the technique repositions the deeper structural layers rather than relying on skin tension, the results tend to age more gracefully and avoid the tight or pulled appearance sometimes associated with older facelift techniques.

Most deep plane facelift patients experience noticeable swelling and bruising for the first two to three weeks. The majority of patients return to work and social activities at three to four weeks, with most visible swelling resolved by six to eight weeks. Final results continue to improve and settle for three to six months post-operatively. Dr. Doshi provides all post-operative follow-up at his Long Island offices.

Good candidates are adults — typically in their forties through sixties — with moderate to significant facial descent: jowling, midface hollowing, deepened nasolabial folds, and neck laxity. Candidates should be in good general health, non-smokers, and have realistic expectations. Patients with only mild laxity may be better served by a mini facelift or injectable approach — Dr. Doshi discusses the most appropriate option at consultation.

Dr. Doshi completed his fellowship training in advanced aesthetic and reconstructive facial plastic surgery through the American Academy of Facial Plastic and Reconstructive Surgery, with a specific focus on the structural approaches to facial rejuvenation that underpin deep plane technique. His approach prioritises repositioning rather than tensioning — restoring the facial architecture rather than simply removing skin — with the explicit goal of results that appear natural rather than operated upon.

Yes. Dr. Doshi frequently combines deep plane facelift with neck lift, blepharoplasty, brow lift, and facial fat transfer. Combining procedures allows for comprehensive facial rejuvenation in a single anaesthetic and recovery period, and is often more cost-effective than staging procedures separately.

Deep plane facelift costs vary based on the complexity of the procedure, whether it is combined with neck lift or other procedures, anaesthesia, and facility fees. Dr. Doshi provides a personalised cost estimate during consultation. Financing options are available.

A liquid facelift uses injectable Botox and dermal fillers to address facial aging non-surgically — temporarily restoring volume and softening lines without any incisions or recovery time. A deep plane facelift surgically repositions descended tissue and produces structural, long-lasting correction of jowling, skin laxity, and midface descent. The two approaches address different degrees and types of aging change; Dr. Doshi discusses which is appropriate at consultation.

Before and after photography from Dr. Doshi's facelift cases is available in the gallery on the practice website. Patients can also review case photography during their in-person consultation at the Long Island or Manhattan office.

Yes. Consultations for deep plane facelift are available at both Long Island offices and at the Manhattan office. Virtual consultations are available as a first step for patients who prefer to discuss their goals remotely.